Kelly, Paul F
Kelly, Paul F is an individual health care provider with primary practice located at 56 Franklin St. 3Rd Floor, Waterbury CT 06706-1253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kelly, Paul F can be contacted via phone (203) 709-6000.Contact Information
Primary practice address
56 Franklin St. 3Rd Floor
Waterbury CT 06706-1253
Phone: (203) 709-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 035359 | Connecticut |
Profile Details
| NPI number | 1548297930 |
|---|---|
| LBN Legal business name | Kelly, Paul F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548297930 | NPPES |
| Connecticut | Other | 035359 | CONNECTICARE |
| Connecticut | Other | P407727 | CONNECTICARE |
| Connecticut | Other | 10-86502 | CONNECTICARE |
| Connecticut | Other | 4369921 | CONNECTICARE |
| Connecticut | Other | 01035359 | CONNECTICARE |
| Connecticut | Other | 0R03179 | CONNECTICARE |
| Connecticut | Other | 206706 | CONNECTICARE |
| Connecticut | Other | 604583 | CONNECTICARE |
| Connecticut | Other | P00025411 | CONNECTICARE |
| Connecticut | Other | 010035359CT01 | CONNECTICARE |
| Connecticut | Other | 873719 | CONNECTICARE |
| Connecticut | MEDICAID | 001353599 | CONNECTICARE |
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